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Nutritional Supplement

Licorice

Parts Used & Where Grown

Originally from central Europe, licorice now grows all across Europe and Asia. The root is used medicinally.

How It Works

The two major constituents of licorice are glycyrrhizin and flavonoids. According to test tube studies, glycyrrhizin has anti-inflammatory actions and may inhibit the breakdown of the cortisol produced by the body.1,2 Licorice may also have antiviral properties, although this has not been proven in human pharmacological studies. Licorice flavonoids, as well as the closely related chalcones, help heal digestive tract cells. They are also potent antioxidants and work to protect liver cells. In test tubes, the flavonoids have been shown to kill Helicobacter pylori, the bacteria that causes most ulcers and stomach inflammation.3 However, it is unclear whether this action applies to the use of oral licorice for the treatment of ulcers in humans.

An extract of licorice, called liquiritin, has been used as a treatment for melasma, a pigmentation disorder of the skin. In a preliminary trial,4 topical application of liquiritin cream twice daily for four weeks led to a 70% improvement, compared to only 20% improvement in the placebo group.

A preliminary trial found that while the acid-blocking drug cimetidine (Tagamet®) led to quicker symptom relief, chewable deglycyrrhizinated licorice (DGL) tablets were just as effective at healing and maintaining the healing of stomach ulcers.5 Chewable DGL may also be helpful in treating ulcers of the duodenum, the first part of the small intestine.6 Capsules of DGL may not work for ulcers, however, as DGL must mix with saliva to be activated.7 One preliminary human trial has found DGL used as a mouthwash was effective in quickening the healing of canker sores.8

References

1. Whorwood CB, Shepard MC, Stewart PM. Licorice inhibits 11ß-hydroxysteroid dehydrogenase messenger ribonucleic acid levels and potentiates glucocorticoid hormone action. Endocrinology 1993;132:2287-92.

2. Soma R, Ikeda M, Morise T, et al. Effect of glycyrrhizin on cortisol metabolism in humans. Endocrin Regulations 1994;28:31-4.

3. Beil W, Birkholz C, Sewing KF. Effects of flavonoids on parietal cell acid secretion, gastric mucosal prostaglandin production and Helicobacter pylori growth. Arzneimittelforschung 1995;45:697-700.

4. Amer M, Metwalli M. Topical liquiritin improves melasma. Int J Dermatol 2000;39:299-301.

5. Morgan AG, McAdam WAF, Pacsoo C, Darnborough A. Comparison between cimetidine and Caved-S in the treatment of gastric ulceration, and subsequent maintenance therapy. Gut 1982;23:545-51.

6. Kassir ZA. Endoscopic controlled trial of four drug regimens in the treatment of chronic duodenal ulceration. Ir Med J 1985;78:153-6.

7. Bardhan KD, Cumberland DC, Dixon RA, Holdsworth CD. Clinical trial of deglycyrrhizinised liquorice in gastric ulcer. Gut 1978;19:779-82.

8. Das SK, Gulati AK, Singh VP. Deglycyrrhizinated licorice in aphthous ulcers. J Assoc Physicians India 1989; 37:647.

9. Murray MT. The Healing Power of Herbs. Rocklin, CA: Prima Publishing, 1995, 228-39.

10. Blumenthal M, Busse WR, Goldberg A, et al, eds. The Complete Commission E Monographs: Therapeutic Guide to Herbal Medicines. Boston, MA: Integrative Medicine Communications, 1998, 161-2.

11. Armanini D, Bonanni G, Palermo M. Reduction of serum testosterone in men by licorice. New Engl J Med 1999;341:1158 [letter].

12. Josephs RA, Guinn JS, Harper ML, Askari F. Liquorice consumption and salivary testosterone concentrations. Lancet 2001;358:1613-4.

13. Blumenthal M, Busse WR, Goldberg A, et al. (eds). The Complete Commission E Monographs: Therapeutic Guide to Herbal Medicines. Boston, MA: Integrative Medicine Communications, 1998, 161-2.